Open Calf Scramble Application & Minor Release Form
Must be filled out completely or applicant will be disqualified
APPLICANT NAME______________________________________________________________________
ADDRESS_____________________________________________________________________________
CITY___________________________________STATE____________ZIP CODE_____________________
AGE_______PHONE___________________________EMAIL____________________________________
PARENTS NAME________________________________________________________________________
COMPLETE ADDRESS____________________________________________________________________
I_________________________________________parent of____________________________________
do hereby consent and agree that it is permissible for our said minor child to compete in the Northern
Hills Ag Fest Calf Scramble held at the Meade County Fair, and I (we), joined by our said minor child, do
hereby consent and agree to hold said Northern Hills Ag Fest committee, Sturgis Chamber of Commerce,
Meade County Fair and Meade County School District, referees, participants, sponsors, Scramble
Committee and all personas individually or collectively, harmless from any liability for bodily injury or
any other damage or injury sustained or suffered while said minor child is a participant in the Calf
Scramble on the scheduled day.
I (we) also agree that we have been given a copy of the official rules and regulations for the calf
scramble. I (we) along with our child, agree to abide by all rules until the completion of the calf scramble
program in August 2015.
PARENT/ GUARDIAN SIGNATURE_________________________________________________________
Mail completed applications to:
FSA
Attn: Tacy Snyder
2202 W. Main Street
Sturgis, SD 57785
Northern Hills Ag Fest
2015 Livestock/ Calf Scramble Release Form
The Northern Hills Ag Fest, Sturgis Chamber of Commerce, Meade County Fair and Meade County
School District, including its officers, directors, volunteers, agents and/or employees, herein called
“Fair” and the Owner and/or Exhibitor, including parents, and/or Legal representatives, here in called
“Exhibitor” agree that Fair will in no case be responsible for any loss, damage or injury to the person,
animals or property of exhibitor, or Exhibitor’s agents, servants, family and/or employees regardless of
how such loss, damage, injury is occasioned and by whom. The Northern Hills Ag Fest and Meade
County Fair further agree that Exhibitor will protect, indemnify and save harmless Fair from any and all
claims, suits, and/or judgements (including the cost of defense of any such claim and/or suit by Fair)
brought by anyone as a result of any loss, damage or injury to any person, animal or property
occasioned by any action or in action or Exhibitor, either solely or in conjunction with the Fair or anyone
else.
Exhibitor agrees to abide by all rules of the Northern Hills Ag Fest, Sturgis Chamber of Commerce,
Meade County Fair and Meade County School District.
Date_______________________________
Exhibitor Name________________________________________________________________________
(Please Print)
Parent/ Legal Guardian__________________________________________________________________
(If under 18, must have a parent/legal guardian signature)
4-H Advisor/ Ag Science Teacher__________________________________________________________
County/School_________________________________________________________________________
NOTARY ACKNOWLEDGEMENT SECTION
Subscribed and sworn by ______________________________ (Notary circle one: Parent or Guardian) before me,
This ___________________ day of _________________________________________ , 20_________
SEAL
____________________________________
Notary Public’s Signature
Notary Print Name:_____________________________
My Commission Expires:_________________________
Open Calf Scramble Eligibility Rules
General:
a. Each exhibitor, participant or other individual or entity participating in any aspect of the
Northern Hills Ag Fest or Meade County Fair, including without limitation, livestock and animal
entrants, and calf scramble participants (collectively) including any of their heirs, dependents,
assigns, agents or representatives in any capacity, hereby waives all rights and claims for
damages, and do hereby agree to release, hold harmless and unconditionally indemnify the
Northern Hills Ag Fest, Sturgis Chamber of Commerce and Meade County Fair board, directors,
sponsors or co-producers of any NHAF and/or Fair events, and any officials or employees,
thereof, from and against all liability, costs, expenses, claims and damages, even if caused by the
alleged negligence or gross negligence of the Northern Hills Ag Fest event and/or Meade County
Fair participant or show may any time suffer or sustain or become liable for by reason of any
accidents, damages, injuries or incidents either to the person or property, or both, or the
Northern Hills Ag Fest and/or Meade County Fair participant, or if any other parties, in any
manner arising from such participant’s participation in any NHAF or Meade County Fair event or
at any NHAF event (committee of the Sturgis Chamber of Commerce) or Meade County Fair or
Meade County School Board premises which is in any way connected to the NHAF, Sturgis
Chamber of Commerce, Meade County Fair Board or Meade County School District, its officers,
directors, members, agents, sponsors or employees. Northern Hills Ag Fest and/or Meade
County Fair participant also recognizes that it will be solely responsible for any consequential or
other loss, injury or damage to, or occasioned by, arising from, any horse, cattle, sheep or other
livestock used by the participant or present at the Northern Hills Ag Fest and/or Meade County
Fair, including the preparation, during and disbanding of said Fest and Fair and any parts
thereof. Each Northern Hills Ag Fest or Meade County Fair participant further agrees to execute
such releases or other writings or other documents which evidence the Participant’s
acknowledgment and understanding of the foregoing release and indemnity, provided,
however, the provisions hereof shall prevail in the event that a conflict or other inconsistency is
discovered regarding the contents of this provision, and any release executed by a Participant.
Further, Northern Hills Ag Fest and/or Meade County Fair Participant grants permission to the
Northern Hills Ag Fest and Meade County Fair board and their designees to use the Northern
Hills Ag Fest event Participant’s image or likeness in connection with any broadcast or other
reproduction of this event.
b. Incomplete Minor Releases will not be accepted. All information requested on the Minors
Release must be complete.
Eligibility Requirements:
a. Applicant must have reached their 8th birthday as of the day of the event and not older than 17
years old as of the day of the event.
Physical Requirements:
a. Participants must be able to run and perform procedures necessary to scramble.
b. Participants appearing to have broken limbs or evidence of recent injury (cast, ace bandage,
support brace, etc.) will automatically be disqualified.
Arena Rules:
a. Youth will be divided into 2 age divisions. The youth division will be ages 8-12 and the teen
age division will be ages 13-17.
b. Participants and calves will be placed in the arena as directed by the arena director.
c. The Calf Scramble will be refereed by an appointed group of referees.
d. Participants will not take tools or equipment into the arena.
e. 10 calves will be released into the arena. Each participant will attempt to pull a ribbon off of
the tail of the calves released into the arena. The first 5 participants that succeed in pulling a
ribbon off of the tail and also carrying the ribbon across the designated finish line will then be
declared a winner when indicated by the referees.
f. Participants will be awarded prizes based off of their order of completion. The first 5 to pull
the ribbon off of the tail and carry it across the designated finish line will win.
g. Participants will not be allowed to pull on the tail of the calf.
h. Undue roughness will not be tolerated by the referees. Poor sportsmanship automatically
disqualifies any participant.
i. Participants must wear long blue denim jeans and appropriate closed toe shoes.
j. Shoes with any type of metal cleats will not be allowed.
Prizes:
Prizes for each age division will be awarded as follows:
1st- $50
2nd- $40
3rd- $30
4th- $20
5th- $10